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jha;tPL


• etk;gu; 2011 cly; rkepiy ,og;G (Loss of Balance)


Qhgf kwjp mbf;fb Vw;gLfpd;wjh? kpf Tk; fisg;ghf ,Uf;fpd;wjh? ,Lg;gp idNah my;yJ fOj;jpidNah kpfTk; Rygkhfj; jpUg;g KbahJ ,Uf;fpd;wjh? vjpYk; xUkdjhf nray; gLk; jpwd; Fiwe;Jtpl;ljh? clypy; Neha; vjpu;g;Gj; jd;ik Fiwe;Jtpl;ljh? mbf;fb jiy typ KJFtyp Vw;gLtJld; vYk;Gfsp Yk; jirfspYk; NehT Vw;gLfpd;wjh? rpy rkak; clypd; rkepiy ,og;gpw;F ,it mwpFwpahfyhk;. rkepiyf; Fiw ghL vd;gJ xUtu; rhjhuzkhf epw;Fk; NghJ> elf;Fk; NghJ> ,Uf;Fk; NghJ my;yJ gLj;jpUf;Fk; NghJ jiy Rw;WtJ Nghy czu;tJ khj;jpukd;wp rpy rkaq;fspy; tpOe;J tpLjy; MFk;.


rkepiy ,og;G vd;gJ xU NehahFk;. ,t;tifahd rkepiy ,og;G Vw;gLt- jw;Ff; fhuzq;fs; vd;d?


cly; rkepiy ,og;G


Vw;gLtjw;fhd fhuzq;fs;: Ks;se;jz;by; Vw;gLk; Neha;fs;> tsu;r;- rpfs;> Ks;se;jz;by; Vw;gLk; strokes vd;- gdTk; fhy;fis tYtpof;fr; nra;Ak;.


Ks;se;jz;by; VjhtJ gpur;rpid cz;lh vdg; gupNrhjpg;gjw;F MRI vd;Dk; gup Nrhjid nra;ag;gLk;. Multiple Sclerosis> Parkinson’s disease Nghd;w ,U Neha;f Sk; kpfTk; ghuJ}ukhd tifapy; ghjpg;gpid Vw;gLj;jf; $bait.


myu;[p vdg;gLk; xt;thik ,Ug;NghUf;- Fk; cly; rkepiyapy; gpur;rpidfs; ,Uf; fyhk;. mjw;Ff; fhuzk; mtu;fsJ fhjpd; cl;Gwk; Nru;e;jpUf;Fk; ePu;jd;ikahFk;. ,jidg; Nghf;Ftjw;F ePq;fs; itj;jp


auplk; nry;YKd; vq;fs; ifitj;jpa Kiwapy; Mtp gpbj;Jg; ghu;f;fyhk;. VjhtJ menthol or axe oil nfhQ;rk; nfhjpePupy; Nghl;L me;j ePuhtpapidg; gpbj;jhy; nfhQ;rkhtJ FiwAk;. ePq;fs; vjpu;ghu;f;Fk; mstpw;Ff; Fiwe;jpUe;jhy; itj;jpauplk; nry;Yk; Njit ,Uf;fhJ.


jw;NghJ gyUf;F ikfpNud; vdg;gLk; jiytyp cz;L. ,jpy; basilar artery migraine vdg;gLk; jiytypahdJ %is apd; gpujhd FUjpf;FohAld; njhlu;G ilaJ. ,e;jtifahd jiytypahdJ clypd; rkepiyapidg; ghjpg;gJ khj;- jpukd;wp jw;fhypfg; ghu;itf; Fiwghl;- bidAk; cUthf;ff; $baJ


M];bNah Mj;jiuw;up]; vdg;gLk; %l;L tpahjp fhuzkhf vq;fsJ cly; ghuj; jpidj; jhq;Fk; %l;Lfspy; Vw;gLk; Nja;T fhuzkhfTk; cly; rkepiy- ahdJ ghjpf;fg; glyhk;.


ngz;fSf;F rhjhuzkhf Ik;gJ ta jhFk;NghJ khjtpyf;F epw;Fk; fhykh fpa menopause fhyq;fspy; $l cly; rkepiy ,og;G Vw;glyhk;. ,r; rkepiy ,og;gpw;Ff; fhuzk; clypy; Vw;gLk; XNkhd; khw;wq;fs;. MfNt ,f; fhyq; fspy; ngz;fs; kpfTk; ftdkhf ,Uj;jy; Ntz;Lk;.


euk;Gj; njhFjpapy; Vw;gLk; rpy Neha;fs; cly; rkepiyapd;ikf;Ff; fhuzkhf mikayhk; vd kUj;Jt Ma;Tfs; $W fpd;wd. fhYf;Fr; nry;Yk; czu;r;rpAld; rk;ge;jg; gl;l euk;Gfspy; gpur;rpidfs; Vw;gLk; NghJ mit Ntiy nra;ahJ NghdTld; mJ fhypy; czu;Tfisf;


kyUk; ,jaq;... 9k; gf;fj; njhlHr;rp...


nra;fpd;wJ gpw;frpT ehsiltpy; nghp jhfp ,jaj; njhopw;ghl;il> mjd; nraw; jpwidf; Fiwj;J tpLfpwJ.


fpUkpj; njhw;Wfshy; njhz;ilg;Gz;> nghJthd clw;gytPdk;> J}f;ff; Fzk;> thjf;Fzk;> ,utpy; fhr;ry;> tpaHit vd;gd Fzq;Fwpfshf ntspg;glyhk;> ehsiltpy; ,ja thy;Tfis ghjpf;Fk; nghOJ FUjpf;frpTr; rj;jk; (Murmur) Nfl;fyhk;. ,r;rj;jk; rpy rkaq;fspy; fOj;jpYk;> mf;FspYk; $lf; Nfl;fyhk;. Ultra Sound ghpNrhjidapd; nghOJ thy; Tfspy; jbj;j fl;bfs; gbe;jpUg;gijf; fhzyhk;. rpfpr;ir ngwhj NkfNeha;f;


fpUkpfSk; ,j;jiff; fl;bfis thy;T ,iyfspy; Vw;gLj;jyhk;. mit gpd;G rj;jpu rpfpr;ir nra;a Ntz;ba mstpw; Fg; ghhpa Nrjj;ij tpistpf;Fk;.


ghypay; Neha;fs;: fztDk;> kidtpAk; fw;ngDk; fUj;jpy; xd;wp gpwHkidghuhJ thOk; nghOJ ghypay; Neha;fs; njhw;wpf; nfhs;tjpy;iy. kztho;f;iff;F Kd;G ghypay; njhlHG fs; NtW Vw;gl;bUe;jhy; Neha;fs; njhw; wpf; nfhs;s tha;g;G ,Ue;jpUf;Fk;.


Fzkhf;f Kbahj Mdhy; rpfpr;ir ngw;W MWjy; milaf;$ba ghypay; Neha;fs; gw;wp tpopg;ghf ,Uj;jy; mtrpak;>


Rf;Ff;F kpQ;rpa kUe;jpy;iy


ngUq;Flypy; Vw;glf;$ba xU tPf;fk; - ,J Flw; Gw;WNehNahL njhlHGilaJ. 15 NgUf;F 28 ehl;fSf;F 2g ,Q;rp nfhLf;fg;gl;l NghJ> ngUq;Fly; tPf;fj;ij ,J Fiwj;jjhk;. ,d;ndhU 15 NgUf;F kUe;J vdr; nrhy;yp> kUe;jy;yhj> tpisTfspy;yhj> khjpup kUe;J nfhLf;fg;gl;lJ. mtHfSf;F ,t;tif tPf;fk; mjpfkhf ,Ue;jjhk;. ‘Flw; Gw;WNeha; vjpHg;G rf;jpahf ,Q;rp gad;gLj;jg;glyhk;’ vd;W kpr;rpfd; gy;fiyf;fof Ma;thsHfs; ek;Gfpd;wdH. clypy; er;Rj;jd;ikiaf; $l;lhj> nryT Fiwe;j> Gw;WNeha;f;nfjpuhd xU nfhilahf ,Q;rp fUjg;glyhk;. American Association for Cancer epWtdj;jpd; ntspaPlhd Cancer Prevention Research ,y; ,J njhlHghd tpsf;fkhd fl;Liu ntspe;Js;sJ.


,Q;rpf;F Rf;F vd;Wk; xU ngaUKz;L. ‘Rf;Ff;F kpQ;rpa kUe;Jkpy;iy; Rg;ukzpf;F kpQ;rpa nja;tKkpy;iy’ vd;W jkpofj;jpy; nrhy;thu;fs;.


Fiwj;JtpLtjhy; tpiwg;Gj; jd;ik Vw;gLk;. ,t;thW czu;T Fiwifapy; %isf;F fhypidg;gw;wpa nra;jpfs; njupahJ Ngha;tpLk;. ,jdhy; fhypd; njhopw;ghLfis %is fl;Lg;gLj;j KbahJ. ,J Nghd;w gpur;rpidfs; gy vkf;F Vw;glyhk;. euk;Gj; njhFjpapy; Vw;gLk; Neha;fs; clypd; gy ghfq;f- spYk; typikapidf; Fiwg;gjhf mike;JtpLk;. ,e;j typikf; Fiwg;G rhjhuzkhf Muk;gpg;gJ fhy;fspw;jhd; vd kUj;Jt epGzu;fs; $Wfpd;wdu;. ,g;gbahdtu;fSf;F foot drop Vw;gLfpd; wJ. mjhtJ mtu;fs; elf;Fk; NghJ fhy;fs; J}f;f kWf;Fk;. mLj;J jir rk;ge;jg;gl;l Neha;fs; nghJthf Njhs; %l;Lf;fisAk; njhilfisAk; tY tpof;fr; nra;JtpLk;. ,t;thW jir my; yJ euk;Gfspd; Neha;fisf; mwpe;J nfhs;tjw;F EMG nerve conduction study vd;Dk; Nrhjid nra;ag;gLk;.


xt;nthUtUk; elf;Fk; tpjj;jpy; $l; xUtUila clypd; rkepiy ghjpf;fg; gLk;. mjhtJ Walking abnormalities vdg; gLk;. xUtu; vt;thW elf;fpd;whu; vd;g jid Muha;tJ gait vdg;gLk;. xUtiu mwpahkNyNa mtUila eilapy; mrhjhuzj; jd;ik Vw;gl;L tpLfpd;wJ. ,J rhjhuzkhf tpgj;Jf;fshNyh my;yJ Neha;fshNyh fhy;fs;> Ks;se;jz;L> %is> my;yJ fhjpd; cl;Gwk; ghjpf;fg; gLtjhy; Vw;gLtJ.


fOj;Jg; gFjpapYs;s Ks;se;jz;nlYk;- Gfshd C1 (Atlas) C2 (axis) Mfpait rupahfg; nghUe;jhJ tpyfpapUe;jhy; (tpgj;Jfs; my;yJ NtW ghjpg;Gfshy;) mJTk; clypd; rkepiyapidg; ghjpf;


,jpy; n`Hgp]; (Genital Herpes) vd;w Neha; njhw;wpdhy; 2 njhl;L 21 ehl;fspy; Fzq;Fwpfs; njd;gLk;. ,jpy; HSV 1 vd;gJ cjLfisAk;> njhz;iliaAk; ghjpf;Fk;. HSV 2 vd;gJ ghypay; cWg;G fshfpa Nahdp> Mz;Fwpg; gFjpfisg; ghjpf;Fk;. mLj;J HIV, Hepalities C vd;gd tw;iwf; Fwpg;glyhk;. ,tw;iw clypy; ,Ue;J g+uzkhff; Fzkhf;f KbahJ. Mdhy; fl;Lg;ghl;by; itj;jpUf;fyhk;. mjw;F kUe;Jfs; mtrpak;.


Fzq;Fwpfs; ntspapy; njhpahj gl;rj; jpy; ,tHfSld; cly; cwT itj;jp Ug;gtHfs; Nehia thq;fpf; nfhs;fpwhHfs;. Nkw;$wpa %d;W Neha;fspy; VjhtJ xd;iw cilatHfs; Vida ahUldh tJ cly; cwT nfhs;s Kd;G jkf;F ,j;jifa Neha; cz;L vd;gij xg;Gf; nfhLj;jy; Ntz;Lk;. mjd; gpd;G ghJ fhg;ghd ciwfisg; ghtpj;J clYwT nfhs;syhk;. vdpDk; ,jpy; N`Hgp]; vd;w tpahjpia ghJfhg;G ciwfs; ghtpj;Jk; njhw;iwj;jLf;f KbahJ.


,tw;iw ehd; Vd; ,q;F Fwpg;gpLfpNwd; vd;why; ,j;njhw;W cilath;fspd; ,j ak;> ehb> ehsq;fs; vd;gd Nehiaf; fl;Lg;ghl;by; itj;jpUf;fhj gl;rj;jpy; tpiutpy; Neha;tha;gl;L tpLk;.


Nkf Neha; (Gonorrhoea) ntl;il Neha; (Syphilis) Nghd;w ghypay; Neha;fs; Neu fhyj;Jld; fz;lwpag;gl;lhy; clNd rpfpr;iraspf;f KbAk;. NehAk; Kw;whff; FzkhfptpLk;.


ntl;fj;jpdhy; %b kiwf;fg;gLk; nghOJ fpUkpfs; gy;fpg; ngUfp ,jaj;jpd; cl; Gwj;jirapy; tPf;fj;ij Vw;gLj;jp ,Wjp apy; epue;ju ,Ujag; ghjpg;gpw;F MshF tJld; ngUehbfspy; tPf;fk; Vw;gl;L Gilj;J ntbf;fyhk;. ,tw;wpdhy; ,wg;G


rpth[pdp ghyuh[d;


Fk;. ,t;thwhd re;ju;g;gj;jpy; xU fhy; kw;iwa fhypid tpl rpwpJ fl;ilahf ,Uf;Fk;. fz;zhb Kd;dhy; epd;W ghu;f;Fk; NghJ xU Njhs;g;gl;ilahdJ kW Njhs;gl;ilapid tplr; rpwpJ gjp thfTk; ,Uf;Fk;. fOj;jpypUf;Fk; vYk; gpw;jhNd gpur;rpid MfNt fOj;jpd; rkepiyjhNd Fok;Gfpd;wJ clypd; rk epiy Fok;gtpy;iy rpyu; epidg;ghu;fs;. vkJ clypd; KO MjhuNk Ks;se;- jz;nld;Dk; fhuzj;jpdhy; ,J KOik ahd clypd; rkepiyapidg; ghjpf;Fk;.


,t;thwhd gpur;rpidfs; ,Ue;jhy; FLk;g ey kUj;Jtu;fis mZfp rupahd cj tpapidg; ngw;Wf; nfhs;Sq;fs;. rpyu; kUj;Jtu;fisf; Nfs;tp Nfl;fg; gag; gLthu;fs;. vq;fSf;Fs;s gpur;rpidapid ehq;fs; rupahfr; nrhy;y Ntz;Lk;. mJ vq;fs; flik. mj;Jld; vq;fSf;Fr; rupahd tpsf;fk; juNtz;baJ kUj;J tuJ flik. xU ey;y kUj;Jtuhapd; epr;rak; mtu; Njitahd gupNrhjidf isr; nra;tJ khj;jpukd;wp rupahd tpsf; fj;jpidAk; mspg;ghu;.


crhj;Jiz:


http://www.beverlyhillsneurology.com/loss-of-balance.htmlhttp://www.nidcd.nih.gov/health/balance/pages/ balance_disorders.aspx#a


http://www.34-menopause-symptoms.com/dizziness.htm


http://www.icpkp.com/Story?Action=View&Story_id=1237 sivagini.bala@thaiveedu.com


Vw;glyhk;. Nghij kUe;J Crpfisj; Jg;guT nra;ahJ ghpkhWk; nghOJk; ,j;jifj; njhw;Wf;fs; Vw;gLfpd;wd. ,Uja thy;Tfspy; gbTfs; Vw;gl;L mit rj;jpu rpfpr;ir %yk; mfw;wg;gl;L Gjpa thy;Tfs; nghUj;j Ntz;btuyhk;.


ghypa taJf; fw;gk;: ghypay; fy;tp ghlrhiyapy; fw;gpj;jhYk; mjid cw;Wf; Nfl;L tpsq;fpf; nfhs; shj khztHfs; ghypay; cwtpy; <LgLk; nghOJ gy tifahd ,d;dy;fis vjpH Nehf;Ffpd;wdH. ghypay; Neha;fs; njhw;wp ntl;fk; fhuzkhf ngw;Nwhhpl Kk;> ez;gHfsplKk; kiwj;Jr; rpfpr;ir ngwhJ ,Uf;Fk; nghOJ ,Uja tpah- jpfs; Vw;gLtJld; kyl;Lj;jd;ikiaj; juf;$ba gNyhg;gpad; Foha; milg;G Vw;glyhk;. ghypay; Neha;fs; xUGwk; ,Uf;f fHg;gk; jhpj;J tpl;lhy; mJ NtW xU gpur;rpidiaf; FLk;gj;jpy; cUthf; Fk;. rpyH fHg;gj;ijf; fiyf;fyhk;. ,q;F ngw;NwhHfspilNa gy kdg; Nghuhl; lq;fs; Vw;gLk;.


kpfTk; ,ufrpakhd Kiwapy; ghypay; Neha;fisf; fz;lwpaTk;> rpfpr;ir ngw Tk;> Ntz;lhj fHg;gj;ijf; fiyf;fTk; gy rpfpr;ir epiyaq;fs; cs;sd. cq;fs; ngaH> CH> tpyhrk; vd;gd nfhLf;fj; Njitapy;iy> Neufhyj;Jld; ntl;fj; ij tpLj;J mtu;fis mZfpdhy; gad; ngwyhk;. tUKd;fhg;gJ rhyTk; ed;W vd;gjpw;fika J}a;ikahf ,Uf;fg; gofpf; nfhs;Sjy; gy gpur;rpidfspy; ,Ue;J vk;ikg; ghJfhf;Fk;.


,jaq;fs; thlhky; ,Uf;f J}a;ik Ntz;lw;ghyJ> kdg; gOTk; ,jaj;ij thl;btpLk;. kdk; jpwe;J fijAq;fs;.


senthilnathan.kandiah@thaiveedu.com


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